IMTA Credential Spotlight Form

1
Name* This field is required.
First Name
Last Name
2
Enter Your Mindfulness Practice* This field is required.
Company Name
3
Please tell us about your mindfulness meditation background and the population you serve.* This field is required.
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4
Tell us what secular mindfulness looks like in your part of the world.* This field is required.
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5
Any additional information about you and your practice you would like us to review for inclusion in this article.* This field is required.
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6
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